Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Private Practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 595 records · Page 33Linked to original sources

Emergency upper gastrointestinal bleeding. Management and outcomes in specialty private practice.

Severe upper gastrointestinal (UGI) bleeding is a common medical emergency associated with significant morbidity and mortality. Recent studies from selected academic medical centers show that emergency UGI endoscopy with therapeutic intervention prevents recurrent hemorrhage, reduces complications, and limits costs. We determined prospective outcomes for patients presenting to 11 hospitals in Minneapolis and treated by 17 gastroenterologists from an independent single-specialty group. All 291 patients with severe UGI bleeding seen from July 1994 to January 1995 were enrolled and treated according to a guideline that the gastroenterologists had previously agreed upon. Chart review after hospital discharge showed that therapeutic endoscopy resulted in substantial reductions in the risk of recurrent bleeding compared with recent historic controls; the reductions were comparable to those seen in randomized studies from academic centers. Low risk of recurrent bleeding was associated with fewer blood transfusions and fewer days in hospital and in ICU. We conclude that 1) committed specialists can develop and adhere to treatment plans that optimize patient benefit and limit costs, and 2) therapeutic endoscopy performed by gastroenterologists in community hospitals may be as effective as endoscopy performed by academicians with a special interest in UGI bleeding.

Electrocoagulation↗

Quinacrine sterilization (QS) in a private practice in Daytona Beach, Florida: a preliminary report.

OBJECTIVES: To affirm that QS can be performed safely and effectively in a U.S. private office practice. METHODS: The U.S. FDA Modernization Act of 1997 Pharmacy Compounding Provisions made it possible for American physicians to begin offering QS to their patients. These provisions became effective November 21, 1998. This series was initiated in October 2000. The standard protocol recommended by the International Federation for Family Health (IFFH) is followed. Information on patients is recorded on forms suggested by IFFH to accomplish good post-marketing surveillance. The potential role of uterine septae in QS failures is of particular interest to this investigator. RESULTS: Seven cases have been completed. There have been no failures. Side effects have been minor. Women have been exceptionally happy with this method. The Florida Agency for Health Care Administration has examined QS and found it to be an acceptable off-label use of quinacrine. CONCLUSION: Preliminary results have been similar to those reported by QS researchers around the world.

Adult↗

Issues in private practice: midwife care--the future.

The future for private practitioner midwives depends on an understanding of why such care is not only safe for the mother and her baby, but the ideal. Continuity of caregiver has been shown to reduce the mother's need for obstetric intervention. Skilled medical attention is appropriate when and if it becomes necessary. The inappropriate use of obstetric technology carries a cost to the mother, the child, and society. Many constraints exist in Victoria to autonomous midwife practice. The challenge before us is to support one another in our vision for life.

Female↗